P Praxis·MD
● Active Type 1 · Individual

Kathleen Fagerland, CNM

Clinical Nurse Specialist·Twin Falls, ID· NPI 1124214788 · Enumerated 2007 · 18 years on NPI
Fagerland is 1 of 1 clinical nurse specialist providers in Twin Falls and 1 of 3 in Idaho.
NPI age
18 years
Enumerated 2007-09-18
Primary specialty
Clinical Nurse Specialist
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2007-09-18
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 3 active clinical nurse specialist providers in Idaho.

NPI age
18 years
↑ 3 yr above median (15 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
33% of peers hold subspecialties

NPI lifetime · 2007 → 2026

2007-09Enumerated in NPPES
2007 2026

Where they practice

Practice location
200 2nd Ave N
Twin Falls, ID 833016158
📞 2087349955fax 2087349966
Mailing address
3668 N Harbor Ln
Boise, ID 837036914
📞 2083769300fax 2083769444

Specialties

  • Clinical Nurse Specialist Primary
    Definition to come...
    ID license #CNM-41A taxonomy 364SW0102X

Practice context

Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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